Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Weight counseling decreases despite rise in obesity

09.01.2013
While the number of overweight and obese Americans has increased, the amount of weight counseling offered by primary care physicians has decreased -- especially for patients with high blood pressure and diabetes -- according to Penn State College of Medicine researchers.

More than 145 million adult Americans are overweight or obese.

Researchers analyzed data from the National Ambulatory Medical Care Survey for the years 1995-1996 and 2007-2008. This national survey collects information about the provision and use of outpatient medical care services in the United States. The 2007-08 data was the most recent available at the time of the study, and the two time periods were chosen because the survey structure was similar for better comparisons.

Despite the current obesity epidemic, patients seen in 2007-2008 had 46 percent lower odds of receiving weight counseling, with counseling occurring in only 6.2 percent of visits in that year. At the same time, the percentage of adults who were overweight or obese increased from 52.1 percent in 1995 to 63.3 percent in 2008.

Researchers report their findings in a recent edition of the journal Medical Care.

"It is striking that the odds of weight loss counseling declined by 41 percent, with only 29.9 percent of obese patients receiving counseling in 2007-2008, given the substantial increases in the rates of overweight and obesity during that time," said Dr. Jennifer Kraschnewski, assistant professor of medicine. In addition, patients with high blood pressure were 46 percent less likely to receive counseling, and diabetes patients were 59 percent less likely. "People with these conditions stand the most to gain from the weight counseling," Kraschnewski said.

In 2003, the U.S. Preventive Services Task Force recommended that physicians screen all patients for obesity and offer counseling and interventions to promote sustained weight loss. Created in 1984, the task force makes evidence-based recommendations about preventive services including screenings and counseling.

"Unfortunately, other studies have shown that physicians do not conduct weight and weight-related counseling for the majority of their affected patients," Kraschnewski said. Evidence shows that counseling can help adults lose weight and keep it off.

The reasons for this drop are unclear, according to the researchers. Barriers for physicians to offer weight counseling include pessimism that patients can change, time limitations during appointments and thinking that their training for lifestyle counseling is inadequate.

"There are many additional competing demands in the outpatient care between study years, including an increase in chronic illnesses, a focus on quality improvement and use of electronic health records," Kraschnewski said. "Although visit duration has actually increased over the study time period, the number of items addressed during clinic visits has increased substantially more, suggesting less time is available to provide counseling."

Other reasons may be that counseling services are not reimbursed, the researchers said, or that as physicians see rising rates of obesity among their patients, they offer less counseling because of a perceived lack of success.

Kraschnewski said the lack of response to the obesity epidemic by primary care providers is a missed opportunity.

"Primary care has long been instrumental in significant public health successes such as decreased stroke and heart disease deaths due to the management of high blood pressure and high cholesterol," she said. "However, unlike these conditions, primary care providers lack effective tools to address the obesity epidemic."

Effective and easily implemented interventions to address weight counseling in the primary care setting are needed.

"PCPs serve on the frontlines of health care and must be actively engaged to help address the nation's obesity epidemic," Kraschnewski said.

Other researchers are Dr. Christopher Sciamanna, Heather L. Stuckey, Dr. Cynthia Chuang, Erik Lehman, Dr. Lisa Sherwood, all of Penn State Milton S. Hershey Medical Center/Penn State College of Medicine; Dr. Kevin Hwang, University of Texas Medical School at Houston; and Harriet Nembhard, Ph.D., Department of Industrial and Manufacturing Engineering, Penn State College of Engineering.

Matthew Solovey | EurekAlert!
Further information:
http://www.psu.edu

More articles from Health and Medicine:

nachricht Unique brain 'fingerprint' can predict drug effectiveness
11.07.2018 | McGill University

nachricht Direct conversion of non-neuronal cells into nerve cells
03.07.2018 | Universitätsmedizin der Johannes Gutenberg-Universität Mainz

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

Im Focus: Chemical reactions in the light of ultrashort X-ray pulses from free-electron lasers

Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.

Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Microscopic trampoline may help create networks of quantum computers

17.07.2018 | Information Technology

In borophene, boundaries are no barrier

17.07.2018 | Materials Sciences

The role of Sodium for the Enhancement of Solar Cells

17.07.2018 | Power and Electrical Engineering

VideoLinks
Science & Research
Overview of more VideoLinks >>>